Intra-aortic balloon pump (IABP) catheter insertion using a novel left external iliac artery approach and a subcutaneous channel in a 67-year-old woman with chronic heart failure due to dilated cardiomyopathy. The catheter was removed subcutaneously from the left retroperitoneal space to the right lower quadrant of the abdomen. 1. The insertion of the intra-aortic balloon pump (IABP) catheter in the external iliac artery. 2. The subcutaneous pocket from left retroperitoneal space to the right lower quadrant of the abdomen. 3. The external part of the IABP device. Yellow indicates the Dacron conduit. The dressing on the patient's left side indicates the retroperitoneal surgical access. The dressing on the patient's right side indicates the external approach and exit of the IABP device.

Intra-aortic balloon pump (IABP) catheter insertion using a novel left external iliac artery approach and a subcutaneous channel in a 67-year-old woman with chronic heart failure due to dilated cardiomyopathy. The catheter was removed subcutaneously from the left retroperitoneal space to the right lower quadrant of the abdomen. 1. The insertion of the intra-aortic balloon pump (IABP) catheter in the external iliac artery. 2. The subcutaneous pocket from left retroperitoneal space to the right lower quadrant of the abdomen. 3. The external part of the IABP device. Yellow indicates the Dacron conduit. The dressing on the patient's left side indicates the retroperitoneal surgical access. The dressing on the patient's right side indicates the external approach and exit of the IABP device.

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Patient: Female, 67-year-old Final Diagnosis: Heart failure Symptoms: Chest pain • dyspnoea • poor exercise tolerance Medication: — Clinical Procedure: Intraoartic baloon pump insertion – new technique Specialty: Cardiac surgery Objective Management of emergency care Background The use of an intra-aortic balloon pump (IABP) in patients with advan...

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... bevelled 8 mm Dacron graft was anastomosed end-to-side to the artery with a 5-0 polypropylene suture. The catheter was subcutaneously removed from the left retroperitoneal space to the right lower quadrant of the abdomen (Figure 1). No complications occurred during the procedure. ...